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. 2009 Nov 19;25(2):129–134. doi: 10.1007/s11606-009-1170-y

Table 2.

Standardized Hand-off Answer Key

Identifying information Clinical scenario Medication If…,then… To do:
Patient namea One-line summary of clinical scenarioa Lisinopril 5 mg po daily, insulin glargine 20 units SQ qHS, Novolog 8 units TID c meals, Albuterol/atrovent nebs q4h, sliding scale insulin 1. Anticipation of need for escalation of careb [] Follow-up on CXRb
Patient MRNa 1. Active medical issues (i.e., COPD exacerbation, fever) [] Follow-up on BMP/K+b
Rm ba 2. Chronic stable medical issues( i.e., HTN, DM2)
Allergiesa Moxifloxacin 400 mg po q24h, Prednisone 60 mg po daily SHOULD INCLUDE: NAME [GENERIC] DOSE ROUTE COMPLIANT ABBREVIATIONS 2. Anticipation of hyperglycemia given diabetic and on steroidsa [] Family meeting to discuss goals of careb
Code statusab 3. Prophylaxis
PCPa 4. Code status

aInformation derived from mock chart

bInformation obtained from video